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From Calculation to Communication: Using Risk Score Calculators to Inform Clinical Decision Making and Facilitate

Hoda Fakhari1, Courtney L Scherr1, Sydney Moe1

  • 1Department of Communication Studies, School of Communication, Northwestern University, Evanston, IL, USA.

Medical Decision Making : an International Journal of the Society for Medical Decision Making
|October 8, 2024
PubMed
Summary
This summary is machine-generated.

Physicians use various risk score calculators to aid clinical judgment and motivate patients. Factors like time, patient receptivity, and physician experience influence calculator use, highlighting a nuanced role in practice.

Keywords:
clinical decision makingrisk communicationrisk score calculator

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Area of Science:

  • Clinical Informatics
  • Health Services Research
  • Medical Decision Making

Background:

  • Risk score calculators are common tools for disease risk identification and management.
  • Physician experiences and the impact of risk score estimates on clinical decisions and patient communication remain underexplored.

Purpose of the Study:

  • To investigate physicians' applied experiences with risk score calculators.
  • To understand the role of risk score estimates in clinical decision-making and patient communication.

Main Methods:

  • Semi-structured interviews were conducted with 20 physicians in outpatient, community-based settings.
  • Inductive thematic analysis with a consensus-based coding approach was used to analyze the interview data.

Main Results:

  • Physicians used over 20 risk score calculators, with the Atherosclerotic Cardiovascular Disease Risk Calculator being most common.
  • Factors including clinical system (time), patient receptivity, and physician experience (e.g., residents vs. attendings) influenced calculator use.
  • Risk score estimates primarily supported clinical judgment and served as motivational tools for patients.

Conclusions:

  • Physician decision-making and patient communication regarding risk scores varied, indicating a complex role for these tools.
  • The theory of planned behavior can help explain the influence of attitudes, beliefs, and norms on risk score use.
  • Further research is needed to establish best practices for utilizing risk score calculators and estimates.